Effects of integrated management on surgical outcomes and mental health of patients following endoscopic submucosal dissection  

作　　者：Zhu-Hua Dai Lu Xu Yu Yang Xu-Ni He Ke Chen 

机构地区：[1]Department of Gastroenterology,Ningbo Yinzhou No.2 Hospital,Ningbo 315000,Zhejiang Province,China

出　　处：《World Journal of Clinical Cases》2024年第20期4034-4040,共7页世界临床病例杂志

基　　金：the Ethics Committee of Ningbo Yinzhou No.2 Hospital(No.ZXIRB2022301).

摘　　要：BACKGROUND Endoscopic submucosal dissection(ESD)is a less invasive local treatment for diseases throughout the gastrointestinal tract.AIM To develop an integrated management protocol and analyze its effects on surgical outcomes and mental health of patients after ESD.METHODS The study population consisted of patients undergoing ESD before implementation of integrated management and those undergoing ESD by the same pool of surgeons after implementation of integrated management.RESULTS The management group exhibited shortened fasting time and length of hospital stay compared to the control group(P<0.05).The management group exhibited a higher incidence rate of postoperative complications than the control group(3 cases vs 11 cases;P=0.043).The management group exhibited a lower uncertainty score for disease knowledge compared to the control group 12 h after surgery(P<0.05).The management group gave more scores on the domains of patient familiarity to the responsible nurses,professional skills of responsible nurses,and general evaluation compared to the control group.The management group had a higher total score of patient satisfaction towards the responsible nurses in term of health care than the control group(P<0.01).The management group exhibited lower Self-Rating Anxiety Scale and Self-Rating Depression Scale scores compared to the control group 12 h after surgery(P<0.01).CONCLUSION The study demonstrates that integrated management could improve surgical outcomes and mental health of patients undergoing ESD.

关 键 词：Endoscopic submucosal dissection Gastrointestinal tract Hospital stay OUTCOME Mental health 

分 类 号：R473.73[医药卫生—护理学]